00                            HOUSE BILL NO. 285                                                                          
01 "An Act relating to insurance; relating to mammograms; and providing for an effective                                   
02 date."                                                                                                                  
03 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF ALASKA:                                                                
04    * Section 1. AS 21.42.375(e) is amended to read:                                                                   
05            (e)  In this section,                                                                                        
06 (1)  "diagnostic breast examination" means an examination of the                                                    
07 breast using contrast-enhanced mammography, diagnostic mammography,                                                 
08 breast magnetic resonance imaging, breast ultrasound, or other equipment                                            
09       dedicated specifically for mammography conducted to evaluate an abnormality                                   
10                      (A)  detected or suspected in a screening examination for                                      
11            breast cancer; or                                                                                        
12                      (B)  detected by another means of examination;                                                 
13                 (2)  "low-dose mammography screening" and "mammogram" mean the                                      
14       X-ray examination of the breast using equipment dedicated specifically for                                        

01       mammography, including the X-ray tube, filter, compression device, screens, films,                                
02       and cassettes, with an average radiation exposure delivery of less than one rad mid-                              
03       breast, with two views for each breast;                                                                       
04 (3)  "supplemental breast examination" means an examination of                                                      
05 the breast using contrast-enhanced mammography, diagnostic mammography,                                             
06 breast magnetic resonance imaging, breast ultrasound, or other equipment                                            
07       dedicated specifically for mammography conducted based on                                                     
08                      (A)  the insured's personal or family medical history of                                       
09            breast cancer; or                                                                                        
10 (B)  other factors that may increase the insured's risk of                                                          
11            breast cancer.                                                                                           
12    * Sec. 2. AS 21.42.375 is amended by adding a new subsection to read:                                              
13 (f)  Except as necessary to qualify a plan as a high deductible health plan                                             
14 eligible for a health savings account tax deduction under 26 U.S.C. 223 (Internal                                       
15 Revenue Code), a health care insurer that offers, issues, delivers, or renews a health                                  
16 care insurance plan in the individual or group market in the state that provides                                        
17 coverage for mammography screening, diagnostic breast examinations, and                                                 
18 supplemental breast examinations may not impose cost sharing, a deductible,                                             
19 coinsurance, a copayment obligation, or another similar out-of-pocket expense on an                                     
20 insured for coverage of a low-dose mammography screening, diagnostic breast                                             
21       examination, or supplemental breast examination.                                                                  
22    * Sec. 3. The uncodified law of the State of Alaska is amended by adding a new section to                          
23 read:                                                                                                                   
24 APPLICABILITY. AS 21.42.375(e), as amended by sec. 1 of this Act, and                                                   
25 AS 21.42.375(f), added by sec. 2 of this Act, apply to an insurance policy or contract issued,                          
26 delivered, or renewed on or after the effective date of secs. 1 and 2 of this Act.                                      
27    * Sec. 4. The uncodified law of the State of Alaska is amended by adding a new section to                          
28 read:                                                                                                                   
29 TRANSITION: REGULATIONS. The director of the division of insurance may adopt                                            
30 regulations necessary to implement this Act. The regulations take effect under AS 44.62                                 
31 (Administrative Procedure Act), but not before the effective date of the law implemented by                             

01 the regulation.                                                                                                       
02    * Sec. 5. Section 4 of this Act takes effect immediately under AS 01.10.070(c).                                    
03    * Sec. 6. Except as provided in sec. 5 of this Act, this Act takes effect January 1, 2025.